Central Tendon Tenotomy for Management of Extrinsic Extensor Tightness of the Hand: Surgical Technique and Case Reports.

Q4 Medicine

JBJS case connector Pub Date : 2024-07-11 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.23.00639

Morad Chughtai, Ryan Parrish, Arman Tabarestani, Courtney Dougherty, Robert C Matthias, Paul C Dell

引用次数: 0

Abstract

Case: We present a 67-year-old woman with long finger extrinsic extensor tightness and a 56-year-old man with limited index finger flexion due to extrinsic extensor tightness secondary to tendon transfers for radial nerve palsy. Both patients underwent prior surgical procedures that led to limited range of motion (ROM). Subsequently, they elected for central tendon tenotomy (CTT), which demonstrated postoperative ROM improvement and satisfactory patient outcomes.

Conclusion: Surgical management of extrinsic extensor tendon tightness of the hand is generally addressed by performing tenolysis to improve tendon excursion. We present a novel and simple technique of CTT with pertinent anatomy, descriptive cases, and a cadaveric video.

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治疗手部外展肌紧张的中央肌腱腱切开术：手术技术和病例报告。

病例：我们为您介绍一位患有长指外展肌紧张症的 67 岁女性和一位患有食指屈曲受限症的 56 岁男性。这两名患者之前都接受过手术治疗，导致活动范围（ROM）受限。随后，他们选择了中央肌腱腱切开术（CTT），术后ROM得到改善，患者的治疗效果令人满意：结论：手部外展肌腱紧绷的手术治疗方法通常是通过腱溶解术来改善肌腱的外展。我们介绍了一种新颖而简单的 CTT 技术，包括相关解剖、描述性病例和尸体视频。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.